Chest pain, dyspnea. Chest pain, dyspnea (shortness of breath), shoulder and arm pain, throat or neck pain, back pain, chest tightness and weakness or fatigue are common symptoms of coronary heart disease. Coronary disease can be caused by genetic factors (ie, familial) or acquired factors such as smoking or obesity-related diseases (diabetes, cholesterol abnormalities, sedentary lifestyle, hypertension, etc.).
See risk factors. Coronary disease is plaque (cholesterol) build up in the blood vessels that deliver bood to the heart muscle. The factors that increase the likelihood for blockage are age, high blood pressure, diabetes, smoking, high cholesterol, homocysteine, family history, sedentary life style, type a personality. The symptoms range from none to classic chest pain with activity associated with activity.